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Organization

ORTHOXPRESS OF GEORGIA

Active
Parent organization
ORTHOXPRESS OF GEORGIA
Other names
OrthoXpress of Fayetteville
Organization subpart
Yes

Provider details

NPI number
Legal business name
ORTHOXPRESS OF GEORGIA
Authorized official
JENNIFER C BULLOCK (PRESIDENT)
(662) 534-2298
Entity
Organization

Contact information

Practice address
104 N PARK DR STE 104, FAYETTEVILLE, GA 30214-1645
(470) 944-5290
Mailing address
206 OXFORD RD, NEW ALBANY, MS 38652-3115
(662) 534-2227

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
363A00000X
Physician Assistant
Primary
363L00000X
Nurse Practitioner

Other

Enumeration date
10/15/2025
Last updated
10/15/2025
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